New York Codes, Rules and Regulations
Title 8 - EDUCATION DEPARTMENT
Chapter II - Regulations of the Commissioner
Subchapter A - Higher and Professional Education
Part 52 - Registration of Curricula
Section 52.9 - Dental hygiene
Universal Citation: 8 NY Comp Codes Rules and Regs ยง 52.9
Current through Register Vol. 46, No. 39, September 25, 2024
(a) For licensure qualifying programs, admission requirements shall include successful completion of an approved four-year course of study in an approved secondary school.
(b) Requirements for programs leading to the dental hygiene restricted local infiltration anesthesia/nitrous oxide analgesia certificate.
(1) Definitions. As used in this subdivision:
(i) Analgesia means the diminution of
pain.
(ii) Anxiolysis means the
diminution or elimination of anxiety.
(iii) Conscious sedation means a minimally
depressed level of consciousness that retains the patient's ability to
independently and continuously maintain an airway and respond appropriate to
physical stimulation and verbal command and that is produced by a pharmacologic
or nonpharmacologic method or a combination thereof. Patients whose only
response is reflex withdrawal from repeated painful stimuli shall not be
considered to be in a state of conscious sedation.
(iv) Deep sedation means an induced state of
depressed consciousness accompanied by partial loss of protective reflexes,
including the inability to continually maintain and airway independently and/or
to response purposefully to physical stimulation or verbal command, and is
produced by a pharmacologic or nonpharmacologic method or a combination
thereof.
(v) General anesthesia
means an induced state of unconsciousness, accompanied by partial or complete
loss of protective reflexes, including the inability to maintain an airway
independently and response purposefully to physical stimulation or verbal
command, and is produced by a pharmacologic or nonpharmacologic method or a
combination thereof.
(vi)
Infiltration anesthesia means local anesthetic solution deposited near the
terminal nerve endings in the area of prospective dental hygiene
treatment.
(vii) Local anesthesia
means the elimination of sensation, especially pain, in one part of the body by
topical application or regional injection of a drug.
(viii) Local infiltration anesthesia means
the administration of a local anesthetic solution, meant for the elimination of
sensation, especially pain, in one part of the body by the regional injection
of a drug, near the terminal nerve endings in the area of prospective dental
hygiene treatment.
(ix) Nitrous
oxide analgesia means the administration of a combination of nitrous oxide and
oxygen producing a diminution of pain and anxiety (anxiolysis).
(x) Scavenging system means the basic
engineering control for waste nitrous oxide gas. Such systems collect waste gas
and ventilate it from the operating room.
(xi) Under person supervision of a licensed
dentist means that the supervising licensed dentist remains in the dental
office or other location where the local infiltration anesthesia or nitrous
oxide analgesia services are being performed by the licensed dental hygienist
or other student in clinical practice in a program registered pursuant to this
subdivision, personally authorizes and prescribes the use of local infiltration
anesthesia or nitrous oxide analgesia for the patient and, before dismissal of
the patient, personally examines the condition of the patient after the use of
local infiltration anesthesia or nitrous oxide analgesia that is administered
by the licensed dental hygienist or other student in clinical practice in a
program registered pursuant to this subdivision is completed.
(2) In addition to meeting all
applicable provisions of this Part, to be registered as a program leading to
the dental hygiene restricted local infiltration anesthesia/nitrous oxide
analgesia certificate, the program shall be offered by an institution which has
programs that are registered by the department pursuant to this Part as leading
to licensure in dentistry and/or dental hygiene and include the didactic
component and clinical and laboratory experience component, as prescribed in
this paragraph. A student admitted to the program must be a dental hygienist
licensed in New York State or a student in a program registered as leading to
licensure in dental hygiene pursuant to subdivision (a) of this section.
(i) Didactic component. The program shall
include at least 30 clock hours of didactic instruction relating to the
administration and monitoring of local infiltration anesthesia and nitrous
oxide analgesia in the practice of dental hygiene. Such coursework shall
include, but not be limited to, the following content areas:
(a) relevant New York State Education Law and
commissioner's regulations;
(b)
medical history and evaluation procedures;
(c) review of pediatric and adult respiratory
and circulatory physiology and related anatomy;
(d) stages of drug-induced central nervous
system depression through levels of anxiolysis, conscious sedation, deep
sedation and general anesthesia;
(e) definitions and descriptions of
physiological and psychological aspects of anxiety and pain;
(f) pharmacology of agents used in inhalation
sedation, local anesthesia and vasoconstrictors, including drug interactions
and incompatibilities;
(g)
indications and contraindications for use of inhalation sedation and local
anesthesia;
(h) recommended dosages
of local anesthesia and nitrous oxide analgesia;
(i) patient monitoring using observation,
with particular attention to vital signs and reflexes related to
consciousness;
(j) selection and
preparation of the armamentaria and recordkeeping for administering various
local anesthetic agents and nitrous oxide analgesia;
(k) recognition and management of
complications and management of reactions to local anesthetic agents and
nitrous oxide analgesia;
(l) proper
infection control techniques with regard to local anesthetic and nitrous oxide
analgesia and proper disposal of sharps;
(m) description and use of inhalation
sedation equipment;
(n)
introduction to potential health hazards of trace anesthetics and proposed
techniques for limiting occupational exposure such as appropriate scavenging
systems;
(o) abuse potential and
hallucinatory effects of nitrous oxide analgesia;
(p) post-operative care of the patient and
instruction to the patient; and
(q)
a course in basic life support (BLS), or its equivalent as determined by the
department.
(ii)
Clinical and laboratory experience component. The program shall include at
least 15 clock hours of clinical and laboratory experience relating to the
administration and monitoring of local infiltration anesthesia and nitrous
oxide analgesia in the practice of dental hygiene. When a licensed dental
hygienist or other student administers or monitors nitrous oxide analgesia or
local infiltration anesthesia in such clinical or laboratory practice, the
licensed dental hygienist or other student shall be under the personal
supervision of a licensed dentist, as defined in paragraph (1) of this
subdivision. Such experience shall include, but not be limited to, the
following:
(a) selection and preparation of
the armamentaria for administering various local anesthetic agents and nitrous
oxide analgesia including demonstrations regarding scavenging
systems;
(b) demonstration of
proper infection control techniques with regard to local anesthetics agents and
nitrous oxide analgesia and proper disposal of sharps;
(c) demonstration of proper evaluation of the
patient's health status, taking the patient's vital signs and monitoring the
patient's physical status while under the effects of local anesthesia and/or
nitrous oxide analgesia;
(d)
administration of local anesthetic in conjunction with inhalation sedation
techniques;
(e) a clinical
experience demonstrating the successful use of local infiltration anesthesia in
no fewer than 15 instances involving the treatment of a patient, provided that
no individual patient may be treated more than three times; and a clinical
experience, demonstrating the successful use of nitrous oxide analgesia in no
fewer than 15 instances involving the treatment of a patient, of which at least
five instances would be induced by the candidate and the remaining instances
would be observed by the candidate, provided that in no such instance may an
individual patient be treated more than two times. The clinical experience
prescribed in this clause shall be under the personal supervision of a licensed
dentist, as defined in paragraph (1) of this subdivision.
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